Isom, Terry L
Isom, Terry L is an sole proprietor health care provider with primary practice located at 6400 Se Lake Rd Suite 140, Portland OR 97222-2129. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Isom, Terry L can be contacted via phone (503) 496-4766.Contact Information
Primary practice address
6400 Se Lake Rd Suite 140
Portland OR 97222-2129
Phone: (503) 496-4766
Fax: (503) 496-4700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | D6688 | Oregon |
Profile Details
NPI number | 1619973070 |
---|---|
LBN Legal business name | Isom, Terry L |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2005 |
Last updated | Mar 1st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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